3M™ Incise DrapesA barrier to bacterial contamination

3Health Care 3M Infection Prevention

LATEX

NEW IMPROVED IOBAN DELIVERY SYSTEM

� New silicone delivery liner assists easyrelease of 3M™ Ioban™ 2 Drape ontothe skin, making application even easier.

� Delivery liner is thinner and more flexible, saving time in patient preparation.

� Ioban adhesive remains the same, ensuring excellent adhesion to the skin.

Incise Drapes Literature 2005 7/11/05 3:31 PM Page 3

Rate of bacterial recolonisation of the skin after preparation: four methods compared

5 Minutes 30 Minutes 1 Hour 3 HoursSampling time

No.

of

colo

ny f

orm

ing

units

(mea

n av

erag

e re

sults

)

60

50

40

30

20

10

0

Chlorhexidine in alcohol

Alcohol and non-3M incise drapePovidone-iodine in alcohol

Alcohol and Ioban 2 antimicrobial film incise drape

Ioban 2 antimicrobial incise drapes contain iodophorwhich is slowly released on to the skin surface giving continuous and controlled antimicrobial activity throughout the surgical procedure.

Ioban 2 antimicrobial incise drapes . . .

* have a high moisture vapour transmission rate which allows the skin to “breathe” ensuring improved adhesion throughout the longest procedures.

* are highly conformable to body contours. The unique low memory stretch allows limb mobilisation or heavy retraction with reduced tension to the skin.

* have superb adhesion right up to the wound edge.

1. Johnston D.H., Fairclough J.A., Brown E.M., Morris R: Rate of bacterial recolonisation of the skin after preparation: four methods compared. Br. J. Surg. 1987; 74 p64.

3M™Ioban™2 Antimicrobial Film Incise Drapes

Here is how Ioban 2 antimicrobialincise drapes compare

“Within the duration of the study theslow release iodophor drape was more

effective than the other regimes indelaying bacterial recolonisation”.1

Incise Drapes Literature 2005 7/11/05 3:31 PM Page 4

For a CD Rom that provides more detailed information about 3M Infection Prevention Discovery Centre studies, call 01509 613151.

Web site: www.3mhealthcare.co.uk

We are not created microbiologically equal - even after prepping,you never know how many bacteria remain on the skin.

11

10

100

1.000

10.000

100.000

2 3 4 5 6 7 8

3M™Ioban™2 Antimicrobial Film Incise DrapesProven antimicrobial activity

Another reason to use Ioban 2 antimicrobial incise drapes . . .

In order to analyse antimicrobial activity, the 3M Infection Prevention Discovery Centrehas created genetically engineered staphylococci that glow whilst they are alive.2.

Conversely, when they are killed by an antiseptic agent like iodine, the glow ceases. Thisallows a visual demonstration of the release of the antimicrobial agent under laboratoryconditions. The continuous antimicrobial activity of an iodophor impregnated incise drape(Ioban incise drape) is shown through these organisms in a new in vitro study.

What we found out:

Non-antimicrobial incise drape .

Antimicrobial incise drape (Ioban)

It is clear that most of the bioluminescent bacteria remained aliveafter two hours under a non-antimicrobial incise drape. TheIoban 2 antimicrobial incise drape, however, was successful inkilling most of the bioluminescent bacteria.

Restricted to bacteria in growth phase. (Skin bacteria typically grow at a slower rate.)Potential false negatives (low/no light emission) can occur if bacteria are temporarilypushed into dormancy. Luminescent bacteria are modified from their original geneticstructure. Previous research on other genetically altered organisms reported in the literature suggests no difference in phenotype. 3M tested the staphylococci of this studyand verified that they did not deviate from their unmodified counterparts.

These laboratory experimental results cannot be extrapolated directly to on-patient performance. However, results from this bioluminescence method are consistent withother studies available on Ioban 2 antimicrobial incise drapes.

What’s on your patient’s skin when you get ready to operate ?

The following is the summary of a study2. generated by the 3M Infection PreventionDiscovery Centre.

The more we learn about the largest of our human organs, the skin, the more we understand the microbial challenge it presents. The skin is a living organ that provides an effective barrier to the outside microbial world.

In this study, eight subjects were prepped with common antiseptic solutions.

What we found out:*Efficacy of the preps varied with test

subject*It was related in part to initial bacterial

density on the skin*Although all preps reduced bacterial

counts by at least one log, individual responses varied:

-70% ETOH reduced more bacteria than PI on one subject while PI worked better than 70% ETOH on another subject.

As long as we are not able to identify “high counters” we shoulduse incise drapes to create a sterile field around the incision

New evidence presented in this study:* A percentage of the patient population naturally host larger

numbers of skin bacteria than others. These are referred to as “high counters”

* After surgical site disinfection, these “high counters” continue to harbour significant levels of skin organisms

* The rate of “high counters” in the general population is about one in every three to four people.

* Efficacy of the preps varied with test subject.

Darkfield image at initial time point

Darkfield image at 2 hours

Darkfield image at initial time point

Darkfield image at 2 hours

NEWRESEARCH NEWRESEARCHshows . . . proves . . .

1

Prep Efficacy (Post-Prep) by Subject

Po

st-P

rep

Ba

cte

ria

Co

un

ts

Subject

ethyl alcohol (ETOH)

providone iodine (PI)

chlorhexidine gluconate (CHG)

REFERENCE

2. Data on file, 3M Health Care Ltd.

The preparation of the operative site should include the use of anantimicrobial incise drape as well as the normal skin prep.

What’s on your patient’s skin when you get ready to operate ?

3Health Care i n n o v a t i o n i n a c t i o n

3M’s Infection Prevention Discovery Centre continues to study this area and other topics in asepsis.Best practice is achieved through the sophisticated skills of health care professionals combined with sound scientific study. For more than 50 years, 3M has offered health care providers innovative solutions designed to enhance patient outcomes.

Incise Drapes Literature 2005 7/11/05 3:31 PM Page 5

Steri-Drape incise drapes are sterile adherent drapes which provide a sterile operatingsurface.

Steri-Drape 2 incise drapes . . .

� are made of a breathable film which provides superior adhesion especially during critical and long surgical procedures.

� have unique low memory stretch to allow limb mobilisation or heavy retraction reducing the tension applied to the skin.

� are highly conformable, allowing smooth adhesion to all contours of the body - including the notoriously difficult ones.

� reduce or eliminate the need for towel clips by stabilising surgical drape sheets.

Steri-Drape 1 incise drapes . . .

� are the original incise drapes which are totally impermeable, have a pressure sensitive adhesiveand provide a sterile operating surface.

3M™ Steri-Drape™ Incise Drapes

Incise Drapes Literature 2005 7/11/05 3:31 PM Page 6

3Theatre Products3M Health Care Limited 3M Ireland 3M House 3M House Morley Street Adelphi CentreLoughborough Dun LaoghaireLeicestershire LE11 1EP Co. Dublin, IrelandTel: (01509) 611611 Tel: (01) 280 3555Fax: (01509) 237288 Fax: (01) 280 3509

3M Health Care not only provides quality products but also appropriate supporting serviceswhich enable correct product use and optimisedoutcomes.

3M strives to contribute to one of the ultimategoals of all health care organisations: infection-freepatients and health care professionals, throughoutthe continuum of care.

3M, Ioban and Steri-Drape are trademarks of the 3M Company. © 3M Health Care Limited 2005.

Disinfect the skin with your usual skin-preparation. Allow the skin-preparation agent to dry completely.

Using two people, remove the lineron the 3M incise drape until thexx sign appears.

Hold the drape over the intended incision site with adequate tension but without overstretching.

Smooth the drape first along theintended incision line with a steriletowel.

Working away from the incisionline, smooth the remainder of thedrape into place.

A p p l i c a t i o n

Create a crease in the drape bypinching the film near the incision’s edge.

Pull up on crease, separating thedrape from the skin at the incision’s edge, exposing up tothree centimetres of skin surface.Proceed with closure.

After skin closure

Before removing the drape, firstcover the incision with the dressing.

Remove the fabric drape with thefilm attached by folding thedrape/towels 180° back on itself.Pull gently with even tension. Do not pull up.

To remove incise drapes fromreusable linen drapes or towels,wet the material and then peel theincise drape off the material.

R e m o v a lPrior to skin closure

DOApply to prepped, dry skinApply using slight tensionRemove by peeling drape at 180° angle

DO NOTOverstretch the drape during applicationDefibrillate through the drape Use 3M™ Ioban™ 2 Antimicrobial Incise Drapes oniodine-sensitive patients

3M incise drapes

STOP

Backed by the 3M reputation for innovation and quality.The 3M range of incise drapes is designed to provide a sterile operating surface for all types of surgery.Effectively preventing bacterial migration, the superior performance characteristics and adhesion of 3M incise drapes make them an ideal choice even for long operating procedures.

3M™ Incise DrapesApplication and Removal

GX750

Email: infectionprevention.uk@mmm.com

Incise Drapes Literature 2005 7/11/05 3:30 PM Page 2

3M™ Incise DrapesOrdering Information

3M HEALTH CARE FREE EXCHANGE SCHEME3M Health Care recognises that lists and procedures are subject to last minute changes. Therefore your Theatre ProductsRepresentative will be happy to exchange any uncontaminated, opened and unused 3M surgical drape or surgical gown, freeof charge, for a new sterile drape or gown.

For further information, samples or to arrange a free demonstration of gowns and draping systems, contact your local Theatre Products Representative or Customer Services on 01509 613151.

3M™ Ioban™ 2 Antimicrobial Incise Drapes

NSV Code 3M Cat No. Product Overall Size Adhesive Area Items/Box Boxes per Case

ELW891 6635 Treatment Incise 15cm x 20cm 10cm x 20cm 10 4

ELW893 6640 Small Incise 44cm x 35cm 34cm x 35cm 10 4

ELW895 6650 Medium Incise 66cm x 45cm 56cm x 45cm 10 4

ELW897 6648 Large Incise 66cm x 60cm 56cm x 60cm 10 4

ELW925 6651 Extra Large Incise 66cm x 85cm 56cm x 85cm 10 4

3M™ Steri-Drape™ 1 Incise Drapes

ELW811 1035 Treatment Incise 15cm x 20cm 10cm x 20cm 10 4

– 1037 Special Incise 29cm x 25cm 19cm x 25cm 10 4

ELW815 1040 Small Incise 60cm x 35cm 35cm x 35cm 10 4

ELW817 1050 Large Incise 82cm x 45cm 60cm x 45cm 10 4

ELW819 1051 Extra Large Incise 82cm x 85cm 60cm x 85cm 10 4

3M has simplified the patient prepping process

Clip with a 3M™ Surgical Clipper

Prep with a skin prep solution

Drape with an Ioban 2 antimicrobial incise drape

These three easy steps provide a fast and effective prepping method which can be incorporated into infection control protocol.

3M™ Steri-Drape™ 2 Incise Drapes

ELW801 2035 Treatment Incise 20cm x 20cm 10cm x 20cm 10 4

ELW853 2037 Special Incise 38cm x 25cm 28cm x 25cm 10 4

ELW855 2040 Small Incise 38cm x 41cm 28cm x 41cm 10 4

ELW857 2045 Medium Incise 60cm x 45cm 50cm x 45cm 10 4

ELW859 2050 Large Incise 90cm x 60cm 60cm x 60cm 10 4

ELW861 2051 Extra Large Incise 90cm x 85cm 60cm x 85cm 10 4

MINIMUM ORDER QUANTITY: 1 CASE

Incise Drapes Literature 2005 7/11/05 3:30 PM Page 1